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WorkCare provides Incident Intervention™ services, a resource for managers designed to support company safety goals/targets, while reducing runaway costs associated with workplace injuries/illnesses. Incident Intervention is the practice of using WorkCare physicians to "intervene" at the time a workplace injury or accident occurs.
 
These services provide health and safety managers with an effective tool to cut lost-time accidents, reduce the number of OSHA recordables, lower workers' compensation costs and return recovered employees back to work in an expedient manner. It's a practice that generates measurable results.
 
Incident Intervention is a two-phase process involving pre-loss and post-loss services. Pre-loss Incident Intervention focuses on using protocols to minimize the escalation of the incident, reducing the risk that it becomes a workers' compensation claim, lost work day(s) or OSHA recordable. In this phase, a WorkCare physician or nurse is notified by a supervisor upon the occurrence of an accident. The supervisor provides information on the type, possible cause and scope of the incident.
  
The WorkCare physician provides responsive evaluation of the incident, determines the most appropriate course of action and consults with the treating physician to design a quality care treatment plan that meets the needs of the employee and employer in cases where the incident is work related. The goal of Incident Intervention is to provide the right care--not less care. As board-certified physicians in occupational health, WorkCare doctors have the expertise and training to serve as "medical advocates" for employees. They are able to recommend the "right" plan that ensures appropriate patient care and returns employees to work as early as possible.
 
How Incident Intervention Works
 
This common back injury case illustrates how Incident Intervention works. A worker injured his back while lifting an object at a job site. The supervisor responded by sending the employee to a clinic. The clinic's doctor determined that the worker suffered a mild back strain and prescribed prescription-strength Motrin for one week. The doctor sent the employee back to work, but the treatment he prescribed caused the incident to be an OSHA recordable injury, as defined in OSHA's revised recordkeeping rule (29 CFR 1904), which went into effect on January 1, 2002.
 
One of the key provisions of OSHA's recordkeeping rule is the revised definition of first aid. Understanding what constitutes first aid is critical because "any medical treatment that goes beyond first aid meets the general recording criteria and is thus recordable."
 
The rule states: "For medications available in both prescription and non-prescription form, a recommendation by a physician or other licensed healthcare professional to use a non-prescription medication at prescription strength is considered medical treatment for recordkeeping purposes."
 
A doctor with expertise in incident management could have "intervened" to use their medical expertise to look at the full range of treatment options, some which may not be OSHA recordable. The doctor's goal is to provide workers with appropriate, effective care, while never losing sight of how their medical decisions affect employers.
 
And the key to successful Incident Intervention is to establish contact with an occupational physician as close to the time of injury as possible. There is a real window of opportunity to affect the outcome of a case. The sooner an occupational physician gets involved, the greater the impact that doctor can have on the case.
 
Post-Loss Phase
 
The post-loss phase (after incident) is aimed at returning a recovered employee back to work as quickly as possible. Employers should consider adopting disability-management systems that use a proactive approach to return employees back to work. These systems are critical in reducing workers' compensation and other disability costs. Research indicates that most companies experience a 25-30 percent reduction in disability costs in the first year after implementing a disability-management system that includes return-to-work programs.
 
Such programs include "transitional employment," a process in which the employer and employee agree on a scheduled plan with incremental steps (duration, production speed, lift capacities and other job functions) that enable an employee to phase into work. Transitional employment is not light duty. It is a process in which the employee has expressed the desire to return to full capacity work or the treating physician recommends a return to work. In transitional employment, the employer and employee agree to a working plan that allows the employee to work at a level that is safe and tolerable. WorkCare can assist in setting up such a program.
 
Avoiding the Disability Mindset
 
Occupational medicine doctors have reported that it takes less than a few days for a person to buy into the "I-can't-work syndrome.
 
US Filter Industrial Hygiene Manager Mike Luker discussed the benefits of Incident Intervention he has experienced as a client of WorkCare.
 
"WorkCare has assisted us in avoiding 8-10 lost-time accidents a year. In most cases, employees are back to work on restricted or full duty. This is a service our worker compensation carrier can not perform," he said.
  
Insurance companies only provide case management services after an incident becomes a claim, which is typically 6-10 days after the incident.
 
Incident Intervention provides employers with immediate access to physicians on a 24/7 basis, and can be arranged on a case-by-case need or through consulting service agreements.

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Depending on your company's specific requirements, we may recommend placing an Occupational Health nurse or physician onsite for a certain number of hours each week or establishing a full-service onsite facility to serve your employees. Our goal is to reduce overall costs related to health benefits and regulatory compliance and increase the effectiveness of your preventive strategies. Each program uses state-of-the-art criteria for regulatory compliance and worker protection.
 
Regardless of the specifics, every WorkCare program has several common features:
  
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Customized – to your company's specific needs

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Unbiased – employees are more comfortable disclosing important information to medical professionals who are not part of the "company" or "management".

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Experienced – the onsite program is directed by board-certified occupational health physicians.

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Results-Oriented – we provide periodic documented reports stating ongoing goals and accomplishments.

Benefits From An On-Site Program:
 
- Decreased absenteeism
- Improved employee morale
- Increased productivity
- Greater employee health awareness
- Better accountability
- Decreased medical costs
- Decreased workers' compensation costs
- Regulatory compliance

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